Individual
MRS. ANGELA LEE VIDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1025 MARSH ST, MCHS MANKATO, MANKATO, MN 56001-4752
(507) 625-4031
(507) 385-5797
Mailing address
1025 MARSH ST, MCHS MANKATO, MANKATO, MN 56001-4752
(507) 625-4031
(507) 385-5797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18071
MN
Other
Enumeration date
12/04/2012
Last updated
01/31/2024
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